Cerebrospinal fld flw imag at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$628.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,047.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$149.71 with UPMC Health Plan vs $23,570.06 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $149.71 | ↓ -76% |
| Aetna | CHIP/Medicaid | $149.71 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $156.51 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $189.17 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $201.84 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $212.47 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $231.94 | ↓ -63% |
| UPMC Health Plan | CHIP | $366.45 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $387.39 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $387.39 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $387.39 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $387.39 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $387.39 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $398.38 | ↓ -37% |
| Aetna of PA | Medicare | $402.89 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $406.76 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $417.57 | ↓ -34% |
| AmeriHealth Caritas | Medicare | $418.38 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $426.13 | ↓ -32% |
| UPMC Health Plan | Commercial | $437.73 | ↓ -30% |
| UPMC Health Plan | Partners/Select | $457.12 | ↓ -27% |
| Focus Healthcare | Workers Compensation | $461.27 | ↓ -27% |
| United Healthcare | Commercial | $512.93 | ↓ -18% |
| Cigna | Commercial | $732.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $732.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $785.25 | ↑ +25% |
| InterGroup | Commercial | $837.60 | ↑ +33% |
| Health Coalition Partners | PPO | $837.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $994.65 | ↑ +58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,121.51 | ↑ +79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,121.51 | ↑ +79% |
| Highmark BCBS of PA | Managed Care | $1,373.72 | ↑ +119% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,373.72 | ↑ +119% |
| Cigna | Medicare | $23,570.06 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cerebrospinal fld flw imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,475.40 | $139.70 – $2,070.60 |
| UPMC Community Osteopathic | Harrisburg | $1,475.40 | $139.70 – $2,070.60 |
| UPMC Hamot | Erie | $1,068.00 | $149.71 – $700.71 |
| UPMC Hanover | Hanover | $1,475.40 | $139.70 – $822.74 |
| UPMC Lititz | Lititz | $1,475.40 | $139.70 – $827.18 |
| UPMC Magee | Pittsburgh | $1,097.40 | $149.71 – $554.23 |
| UPMC Memorial | York | $1,475.40 | $139.70 – $1,132.40 |
| UPMC Mercy | Pittsburgh | $1,608.00 | $149.71 – $564.50 |